GREENROADS DIAGNOSTICS INC
NPI 1669100863
Clinic/Center - Radiology in San Diego, CA

Active since August 15, 2022
3902 EL CAJON BLVD STE A, SAN DIEGO, CA 92105(888) 992-3240(888) 992-3340 Get Directions Write a Review

NPPES record last updated: August 15, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Clinic/Center
  • Radiology

About GREENROADS DIAGNOSTICS INC

This page provides the complete NPI Profile along with additional information for Greenroads Diagnostics Inc, a provider established in San Diego, California operating as a Clinic/center, focusing in radiology . The healthcare provider is registered in the NPI registry with number 1669100863 assigned on August 2022. The practitioner's primary taxonomy code is 261QR0200X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The authorized official of this NPI record is Loganathan Doraisamy (President)

NPI
1669100863 Verify this NPI
Provider Name
GREENROADS DIAGNOSTICS INC
Entity Type
Organization
Location Address
3902 EL CAJON BLVD STE A SAN DIEGO, CA 92105
Location Phone
(888) 992-3240
Location Fax
(888) 992-3340
Mailing Address
3902 EL CAJON BLVD STE A SAN DIEGO, CA 92105
Mailing Phone
(888) 992-3240
Mailing Fax
(888) 992-3340
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-15-2022
Last Update Date
08-15-2022
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Radiology

Taxonomy Code
261QR0200X
Type
Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

LOGANATHAN DORAISAMY

Authorized Official Title
PRESIDENT
Authorized Official Phone
(888) 992-3240

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Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Radiology (Diagnostic Radiology)
3902 EL CAJON BLVD STE A
SAN DIEGO, CA 92105
Radiology (Diagnostic Radiology)
3902 EL CAJON BLVD STE A
SAN DIEGO, CA 92105
Clinic/Center (Magnetic Resonance Imaging (MRI))
3902 EL CAJON BLVD STE A
SAN DIEGO, CA 92105

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1669100863, enumerated as an "organization" on August 15, 2022.

The provider is located at 3902 EL CAJON BLVD STE A SAN DIEGO, CA 92105 and the phone number is (888) 992-3240.

Clinic/Center with taxonomy code 261QR0200X and a focus in Radiology.